NPI | 1437739877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011084A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016001) |
208D00000X General Practice (Licence: KY 3016001) | |
363LF0000X Nurse Practitioner, Family (Licence: IN 7101011084A) | |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-10-12 |